Powhatan  County Drinking Water Clinic October 2026
The Virginia household water quality program is an annual program facilitated by your local extension agent with the help of specialists from Virginia Tech to ensure Powhatan and surrounding county's residents are able to receive accurate and affordable water testing result from your wells used for drinking, cleaning, farm/land use, and many other uses. We would love to have you participate in this year's program!

Sample Kit Cost: $70 per kit

Sample Kit Pick Up: Tuesday, October 6th, at the Powhatan Extension Office listed below (9am-5pm). 

Sample Return: Wednesday, October 7, between 7am and 9am at the location listed below.

Result/Interpretation Meeting: Tuesday, December 1st 

Powhatan Extension Office
3910 Old Buckingham Rd
Powhatan, VA 23139

Please fill in the blanks below to complete your registration. Credit (card) payments is the preferred method to pay. If needed to pay an alternative way, please contact John Few at johnf93@vt.edu or  (804) 598-5640  You will receive the payment link no later than September 11th once registered.
Sign in to Google to save your progress. Learn more
HOW TO PAY WITH A CREDIT CARD!
Below you will find a link to pay with credit card. If you are paying with CREDIT CARD please clink the link and fill out all your information via the online payment portal. YOU DO NOT NEED TO FILL OUT THIS GOOGLE DOC IF YOU ARE PAYING WITH CREDIT CARD. 

CREDIT CARD IS OUR PREFERRED METHOD OF PAYMENT!


First Name *
Last Name *
Phone Number *
Email *
Address *
County *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Virginia Tech.

Does this form look suspicious? Report